chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]
chlorhexidine gluconate
RxCUI: 834137
What the CMS Formulary Data Shows for chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]
Per the CMS 2026 Part D formulary file, chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] (RxNorm concept RXCUI 834137, generic name chlorhexidine gluconate) appears on 307 distinct formulary files spanning 4,879 Medicare Part D plan offerings - 96.3% of enrollable Part D products, near-universal placement. Tier placement ranges from Tier 1 to Tier 3, with a cross-plan average of Tier 1.2.
Real-world access to chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,548,760 Part D beneficiaries filled chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] in 2023, with total plan-and-beneficiary spending of $14,543,618 and an average per-beneficiary annual cost of $9.39. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] today.
Coverage Details
- Formularies covering
- 307
- Plans covering
- 4,879
- Coverage rate
- 96.3%
- Tier range
- Tier 1 – Tier 3
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,548,760
- Total spending
- $14,543,618
- Avg per beneficiary
- $9.39
Tier Distribution Across Plans
Standalone Drug Plans (PDP) Covering chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]
2 standalone prescription drug plans include this drug.
| Plan | Insurer | Tier | PA | ST | Premium | States |
|---|---|---|---|---|---|---|
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
| AARP Medicare Rx Preferred from UHC (PDP) | UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY | T1 | No | No | $0 | - |
Medicare Advantage Plans (MA-PD) Covering chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]
98 Medicare Advantage plans with Part D drug coverage include this drug.
Frequently Asked Questions
Is chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] covered by Medicare Part D?
Yes, chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] is covered by 4,879 Medicare Part D plans (96.3% of all Part D formularies).
What tier is chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] on Medicare Part D plans?
chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] averages Tier 1.2 across Part D plans, ranging from Tier 1 to Tier 3.
Does chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] require prior authorization?
0% of Part D formularies require prior authorization for chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]?
In 2023, total Medicare Part D spending on chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard] was $14,543,618, covering 1,548,760 beneficiaries. The average spend per beneficiary was $9.39.
Read our methodology - how this data is sourced, computed, and verified.